Abstract

The dopaminergic projections from the ventral midbrain to the striatum have long been implicated in mediating motivated behaviors and addiction. Previously it was demonstrated that κ-opioid receptor (KOR) signaling in the striatum plays a critical role in the increased reinforcing efficacy of ethanol following ethanol vapor exposure in rodent models. Although rodents have been used extensively to determine the neurochemical consequences of chronic ethanol exposure, establishing high levels of voluntary drinking in these models has proven difficult. Conversely, nonhuman primates exhibit similar intake and pattern to humans in regard to drinking. Here we examine the effects of chronic voluntary ethanol self-administration on dopamine neurotransmission and the ability of KORs to regulate dopamine release in the dorsolateral caudate (DLC) and nucleus accumbens (NAc) core. Using voltammetry in brain slices from cynomolgus macaques after 6 months of ad libitum ethanol drinking, we found increased KOR sensitivity in both the DLC and NAc. The magnitude of ethanol intake predicted increases in KOR sensitivity in the NAc core, but not the DLC. Additionally, ethanol drinking increased dopamine release and uptake in the NAc, but decreased both of these measures in the DLC. These data suggest that chronic daily drinking may result in regionally distinct disruptions of striatal outputs. In concert with previous reports showing increased KOR regulation of drinking behaviors induced by ethanol exposure, the strong relationship between KOR activity and voluntary ethanol intake observed here gives further support to the hypothesis that KORs may provide a promising pharmacotherapeutic target in the treatment of alcoholism.

Introduction

Although alcoholism is one of the most prevalent disorders in the United States, with over 18 million individuals meeting the criteria for an alcohol use disorder, the neurobiological bases of this condition remain obscure (Substance Abuse and Mental Health Services Administration, 2012). Due to genetic and neuroanatomical similarities, nonhuman primate models of ethanol use allow for high translational validity in investigations of the neurobiological basis of alcohol use disorders (Grant et al., 2014). Additionally, nonhuman primates will voluntarily consume ethanol (Grant et al., 2008) with similar intakes and patterns to those of humans (Majchrowicz and Mendelson, 1970). This allows for volitional models of ethanol use, which accurately mimic the contingent process in which humans consume ethanol.

Natural and drug reinforcement as well as incentive motivational processes are mediated, at least in part, by dopaminergic signaling in the nucleus accumbens (NAc), caudate, and putamen (Carelli, 2002). The NAc is divided into two subregions, the core and shell. While both receive dense dopaminergic innervation from the ventral tegmental area, they differ in efferent connections. For example, NAc core outputs target the substantia nigra and dorsolateral ventral pallidum, and the NAc shell projects to the ventral tegmental area, medial ventral pallidum, and extended amygdala (Heimer et al., 1991). The two structures vary in function as well: the core is integral in reward-prediction error encoding and integrates environmental and motivational information to guide motor outputs, whereas the shell mediates the acute reinforcing effects of abused drugs and is involved in pavlovian conditioning and incentive processes (Ongür and Price, 2000; Di Chiara, 2002; Saddoris et al., 2013). Indeed, the NAc core and shell control different aspects of drug seeking; blockade of D1-type dopamine (DA) receptors in the shell inhibits context-induced reinstatement of drug seeking, whereas the NAc core mediates reinstatement induced by discrete cues (Bossert et al., 2007). On the other hand, the putamen and the precommisural dorsolateral caudate (DLC) receive input from the sensorimotor cortex and mediate habitual drug-taking behaviors that develop after chronic administration (Graybiel, 1995, 2008; Porrino et al., 2004). Thus, understanding the dopaminergic inputs to these regions may give insight into dynamic changes in dopaminergic signaling associated with alcoholism.

Of the many receptors that regulate presynaptic DA signaling, the κ-opioid receptor (KOR) is of particular interest, as its activation attenuates striatal DA release, cell excitability, and DA synthesis (Walker et al., 1987; Werling et al., 1988; Manzanares et al., 1991). A previous hypothesis that has gained considerable traction in the literature is that ethanol-induced dysregulation of the dynorphin/KOR system mediates increased ethanol drinking and reinforcement produced by ethanol use (Walker and Koob, 2008; Walker et al., 2012). Following ethanol self-administration in macaques, we used fast-scan cyclic voltammetry (FSCV) in brain slices containing the NAc core or the precommisural DLC to determine the dopaminergic adaptations and changes in KOR sensitivity that may underlie drinking behaviors. We hypothesized that DA terminal function and KOR sensitivity would be altered in a manner proportional to ethanol intake.

Materials and Methods

Subjects.

Eleven male cynomolgus monkeys (Macaca fascicularis) between the ages of 5.9 and 6.9 years were used for the current study. Animals were individually housed in quadrant cages (0.8 × 0.8 × 0.9 m) with constant temperature (20–22°C) and humidity (65%) and an 11 h light cycle (lights on at 8:00 AM). Animals had visual, auditory, and olfactory contact with other conspecifics, in addition to 2 h of pair housing each weekday. Body weights were measured weekly. All procedures were conducted in accordance with the Guide for the Care and Use of Laboratory Animals and approved by the Oregon National Primate Research Center Institutional Animal Care and Use Committee.

Drinking procedure.

Monkeys (eight ethanol and three control) were trained to obtain fluids and their meals from an operant panel that replaced one of the walls of their home cage, as described previously (Vivian et al., 2001; Grant et al., 2008). Briefly, the panels had two spouts, one to each side of a 15 inch video display screen. Near each spout, the display showed a set of three stimulus lights (white, red, and green) that indicated an active session or food or fluid availability, respectively. A centrally located recessed dowel activated the fluid spouts, and an infrared finger poke activated the pellet dispenser (env-203-1000; Med Associates). Each spout was connected via Nalgene tubing to a 1 L fluid reservoir set on a digital scale (Adventurer Pro Balances AV4101C; Ohaus). Dowel pulls, finger pokes, and fluid consumption were recorded every 500 ms via a computerized system (Dell Optiplex) using custom hardware and programming using a National Instruments interface and Labview software. Schedule-induced polydipsia, as described previously (Vivian et al., 2001; Grant et al., 2008), was used to induce ethanol self-administration in daily 16 h sessions. Briefly, a 1 g banana food pellet (Research Diets) was dispensed every 300 s (fixed time, 300 s) until a water volume equivalent to 1.5 g/kg of 4% (w/v) ethanol was consumed. Following water induction, 4% ethanol replaced water. In 30 day increments, each animal consumed increasing doses of 4% ethanol: 0.5 g/kg/d, 1.0 g/kg/d, then 1.5 g/kg/d. Following consumption of the programmed volume, water was immediately available, and any remaining pellets were available on a fixed-ratio 1 (FR-1) schedule after 2 h. Following completion of ethanol induction, daily 22 h sessions were performed, during which water and ethanol were concurrently available. Food pellets were available on a FR-1 schedule in at least three daily meals in 2 h intervals starting at the session onset. Data were downloaded, husbandry tasks were performed, food and fluids were replenished, and fresh fruit was provided each day by technicians during the 2 h break.

Blood ethanol concentration.

Monkeys were trained to present their leg from their home cage for awake venipuncture. Blood was collected for blood ethanol concentration (BEC) measurement every 5–7 d. BEC was measured via gas head-space chromatography.

In vitro voltammetry.

Animals were allowed ethanol access until the morning of necropsy. The brain was removed ∼3.5–6.5 h after the last ethanol access. A normal pattern of water and ethanol drinking occurred the day before necropsy, and monkeys were sedated 0–3 h from the time they would typically begin their daily drinking session. FSCV was then used to characterize presynaptic DA release and uptake as well as the ability of KORs to decrease DA release, or KOR sensitivity, in the DLC and NAc core. Voltammetric detection of DA in brain slices has been used by the authors and others to examine receptor regulation of DA release and uptake kinetics (Kelly and Wightman, 1987; Patel and Rice, 2013; Siciliano et al., 2014, 2015). A ceramic blade attached to a vibrating tissue slicer was used to prepare 250-μm-thick coronal brain sections containing the DLC and NAc core. The tissue was immersed in oxygenated artificial CSF (aCSF) containing the following (in mm): 126 NaCl, 2.5 KCl, 1.2 NaH2PO4, 2.4 CaCl2, 1.2 MgCl2, 25 NaHCO3, 11 glucose, and 0.4 l-ascorbic acid, pH adjusted to 7.4. Once sliced, the tissue was transferred to testing chambers containing bath aCSF (32°C), which flowed at 1 ml/min. A carbon fiber microelectrode (100–200 μm length, 7 μm diameter) and bipolar stimulating electrode were placed in close proximity on the tissue. Extracellular DA was recorded by applying a triangular waveform (−0.4 to +1.2 to −0.4V vs Ag/AgCl, 400 V/s) to the recording electrode and scanning every 100 ms. This waveform allows for the assessment of oxidation and reduction peaks for DA, and has been used extensively to detect DA in brain (Lemos et al., 2012; Ferris et al., 2013). DA release was evoked by 1 pulse stimulations (350 μA, 4 ms, monophasic) applied to the tissue every 5 min. When a stable baseline was established (three collections within 10% variability) and predrug measures were taken, the selective KOR agonist U50,488 (0.3 μm and 1 μm, cumulatively) was bath applied to the slice, and stimulations continued until stability was reached at each concentration.

Data analysis.

For all analysis of FSCV data, Demon voltammetry and analysis software was used (Yorgason et al., 2011). Recording electrodes were calibrated by recording responses (in electrical current; in nanoamperes) to a known concentration of DA (3 μm) using a flow-injection system. This was used to convert electrical current to DA concentration. Before application of U50,488, FCSV data were modeled using Michaelis–Menten kinetics, which allows for the determination of evoked DA release and the maximal rate of DA uptake (Vmax).

Ratio analysis.

To determine the ethanol-induced changes in the relative DA release and uptake parameters between striatal subregions, we calculated a DLC to NAc core ratio for both DA release and uptake. The DLC to NAc core ratio value for each animal was calculated by dividing the release or uptake measure from the DLC by that from the NAc core. Of the eight ethanol self-administration animals, three animals had recording performed in only one of the two regions, and thus were not able to be included in ratio analysis. No animals were excluded from any of the analyses as a statistical outlier.

Half-life analysis.

To determine KOR-induced changes in DA uptake rate, we calculated the half-life of voltammetric signals across the same DA concentration range for controls and drinkers. This analysis was used in lieu of Michaelis–Menten modeling because a requirement of the Michaelis–Menten modeling kinetics is that a saturating concentration of DA is present at the DA transporter (DAT); however, this prerequisite was violated following KOR-induced decreases in DA release.

Statistics.

Comparisons of DA kinetics and KOR sensitivity between groups were made using Student's t tests. Data for KOR sensitivity across regions were subject to a repeated-measures two-way ANOVA. When main effects were obtained (p < 0.05), differences between groups were tested using a Bonferroni post hoc test. Pearson's correlation coefficients were used to measure the strength of correlation between DA terminal function, KOR sensitivity, and lifetime ethanol intake.

Results

DA terminal function is decreased in the DLC and increased in the NAc core following voluntary ethanol drinking

Drinking data and location of electrode placements for voltammetric assessment of DA terminal function. A, Average (±SD) daily ethanol intake for each animal. The dashed line represents the group average. B, Average (±SD) BEC taken 7 h after session onset every 5–7 d over the 6 month access period. The dashed line represents the group average. C, Correlation showing a strong positive relationship between BEC measured every 5–7 d and ethanol intake on the day BEC samples were collected. D, Tissue received for slicing following necropsy is outlined in red. Voltammetric experiments were performed in the DLC and NAc core of macaques at approximately −0.5 mm (Paxinos et al., 2009).

Previous reports in rodents have outlined the integral role of DA-dependent NAc core-to-DLC communication in the development of aberrant drug-taking and drug-seeking behaviors (Belin and Everitt, 2008; Everitt and Robbins, 2013). Indeed, in macaques, activation of striatal regions during drug self-administration shifts from ventral to dorsal as drug use persists, further highlighting the importance of the relative contributions of the NAc core and DLC to the control of behavior (Porrino et al., 2004). Although previous work supporting the hypothesis of a ventral-to-dorsal shift in the locus of dopaminergic control of drug taking and seeking has focused on psychostimulants, here we determined the relative dopaminergic activity of the two structures as it relates to ethanol self-administration by calculating a DLC/NAc core ratio of DA release and uptake. We hypothesized that the relative magnitude of DA signaling between the NAc core and the DLC may be an important determinant of chronic ethanol self-administration. Measurements of DA release and uptake were taken only from one region in some animals; thus, some animals were excluded from the ratio analysis. We found that, indeed, drinkers exhibited a lower DLC/NAc core ratio for both release (Fig. 4A; t7 = 3.75; p = 0.0036; 95% CI, 0.676 to 2.985) and uptake (Fig. 4B; t5 = 2.53; p = 0.022; 95% CI, 0.020 to 1.236) compared to controls. We then correlated the ratio of DLC to NAc core DA release and uptake rates with ethanol intake. The DLC to NAc core ratio of DA release was not correlated with ethanol intake (Fig. 4C; r = 0.48; p = 0.20; 95% CI, −0.696 to 0.957; β = 0.0005 ± 0.00050); however, the DLC to NAc core ratio of DA uptake rates was highly correlated with ethanol intake (Fig. 4D; r = 0.98; p = 0.0015; 95% CI, 0.744 to 0.999; β = 0.0019 ± 0.00021), suggesting that the relative change in DAT function across striatal regions may be functionally linked and related to the amount of ethanol consumed.

Relative relationship between DA release and uptake across regions is reversed by ethanol self-administration and is predictive of ethanol intake. A, DA release expressed as a DLC/NAc core ratio across regions. In control animals, evoked DA release is higher in the DLC than the NAc core. This relationship is reversed following ethanol self-administration. B, The maximal rate of uptake (Vmax) is greater in the DLC than the NAc core of control animals. This relationship is reversed in drinkers. C, Correlation analysis showing no relationship between DLC/NAc core ratio of DA release and ethanol intake. D, Correlation analysis showing a positive relationship between the DLC/NAc core ratio of DA uptake and ethanol intake. When uptake rates are higher in the NAc core compared to DLC, intake is low, and when uptake rates are equal across regions, intake is high. Error bars indicate ± SEM. *p < 0.05 versus control; ***p < 0.001 versus control.

Ethanol-induced increases in KOR sensitivity are predicted by ethanol intake

Numerous KOR agonists/antagonists are available clinically; thus, understanding how KOR sensitivity relates to drinking behaviors, especially in nonhuman primate models of drinking, may open a novel avenue for therapeutic interventions. Furthermore, following repeated ethanol exposure, KOR antagonists elevate DA release, whereas there is no effect in ethanol naive animals, suggesting that ethanol may increase the sensitivity of KORs (Lindholm et al., 2007). Previous literature has demonstrated decreased withdrawal signs, ethanol intake, and reinforcing efficacy in response to administration of a KOR antagonist in ethanol-dependent rats (Walker and Koob, 2008; Berger et al., 2013); however, changes in KOR signaling following voluntary ethanol drinking remain to be elucidated. Thus, we examined ethanol-induced changes in the ability of KORs to reduce DA release, or KOR sensitivity, through the use of the selective KOR agonist U50,488 (0.3 μm and 1 μm). These concentrations were selected based on pilot data from our lab indicating that the IC50 for effects of U50,488 on DA release is between 0.3 μm and 1 μm. Based on previous findings in rodents that KOR antagonism reduces ethanol intake in dependent animals while drinking in nondependent animals is unchanged (Walker and Koob, 2008), we hypothesized that KOR sensitivity would be increased following chronic ethanol self-administration. As predicted, U50,488 in the DLC revealed a main effect of concentration (Fig. 5A,C; F(1,6) = 68.04, p = 0.0002) and ethanol history (F(1,6) = 31.67, p = 0.0013), with a greater decrease from baseline DA release in ethanol drinkers compared to controls at 0.3 μm (p < 0.01; 95% CI, 3.674 to 21.15) and 1 μm (p < 0.001; 95% CI, 12.97 to 30.45), indicating supersensitivity of KORs. We then correlated the percentage change in DA release induced by 1 μm U50,488 with lifetime ethanol intake to determine whether changes in KOR sensitivity were related to chronic ethanol exposure. Correlation analysis showed no relationship between KOR sensitivity in the DLC and cumulative ethanol intake (Fig. 5E; r = 0.19; p = 0.38; 95% CI, −0.831 to 0.919; β = 0.010 ± 0.030).

KORs regulate DA uptake in the DLC

Previous reports have demonstrated that KOR activation may alter DA uptake rates in addition to affecting DA release (Das et al., 1994; Thompson et al., 2000; Kivell et al., 2014). To assess KOR induced changes to DA clearance, we determined the half-life of voltammetric signals following application of U50,488. In the DLC, a two-way repeated measures ANOVA revealed a main effect of concentration (Fig. 6A; F(2,12) = 5.81, p = 0.02), but not ethanol history (F(1,6) = 3.18, p = 0.13) on half-life. In contrast, in the NAc, we did not find an effect of concentration (Fig. 6B; F(2,16) = 0.57, p = 0.58) or ethanol history (F(1,8) = 0.16, p = 0.70). Thus, KOR activation slowed DA uptake rates in the DLC, but not NAc core. Additionally, ethanol self-administration had no effect on KOR-induced changes to DA uptake in either region, although there was a trend toward increased sensitivity of this effect in the DLC.

Discussion

It has been hypothesized that with continued drug use in the face of negative consequences, behavioral control of drug taking and seeking shifts from mainly involving limbic domains, such as the NAc, that mediate motivational and affective functions to those that encompass the association and sensorimotor domains, such as the dorsal striatum (Porrino et al., 2004, Graybiel, 2008). Here we demonstrate that both DA neurotransmission and KOR sensitivity are dysregulated in the NAc core and precommisural DLC of male cynomolgus macaques following 6 months of voluntary ethanol self-administration. Ethanol drinkers exhibited increased DA release and uptake in the NAc core and decreased release and uptake in the DLC, and the relative terminal function between the two regions was highly correlated with ethanol intake, suggesting that the relationship between them may be a determining factor in the development of aberrant drinking behaviors. Furthermore, KOR sensitivity was increased in drinking animals in both the NAc core and DLC compared to controls, and KOR sensitivity in the NAc core was positively correlated with ethanol intake. These data provide novel insight into ethanol-induced dysregulation of DA neurotransmission and suggest that dopaminergic dysfunction may be mediating the increase in voluntary drinking during the early stages (first 6 months) of ethanol abuse/dependence. Importantly, these data contribute to mounting evidence that KOR antagonists may provide a novel avenue to reduce drinking behaviors in alcoholics (Sirohi et al., 2012; Walker et al., 2012).

The first major finding of this study was that voluntarily consumed ethanol resulted in supersensitivity of KOR receptors in both the NAc core and DLC. The involvement of the dynorphin/KOR system in mediating stress responses as well as literature demonstrating that acute ethanol increases dynorphin release has led to the development of theories proposing an integral involvement of this system in mediating drinking behaviors as well as the negative subjective aspects of ethanol withdrawal (Sirohi et al., 2012; Walker et al., 2012; Berger et al., 2013). Here we show that voluntary ethanol self-administration has a unique effect on KOR sensitivity and regulation of DA release directly at the DA terminal. Additionally, we found that KOR sensitivity in the NAc core was positively correlated with drinking behavior, and, in conjunction with human and rodent work (Walker and Koob, 2008; Sirohi et al., 2012, Walker et al., 2012, Bazov et al., 2013), this suggests that ethanol-induced dysregulation of the dynorphin/KOR system may drive the motivation to administer ethanol following repeated consumption. Indeed, administration of a KOR antagonist decreases the reinforcing efficacy of ethanol in ethanol-dependent animals, without altering drinking in ethanol naive animals (Walker and Koob, 2008). The dynorphin/KOR system plays a large role in regulating affective states in humans, and KOR agonists produce conditioned place aversion in rodents (Mucha and Herz, 1985; Pfeiffer et al., 1986). Thus, it is possible that the supersensitivity of this system may produce negative affective states, leading to increased consumption and motivation to administer ethanol in an attempt to ameliorate these effects with ethanol. In support of this hypothesis, ethanol-induced increases in KOR function have been linked to aversion, as measured by augmented 22 kHz ultrasonic vocalizations in rodents (Kissler et al., 2014).

Previous reports demonstrating ethanol-induced increases in the behavioral effects of KOR antagonism have primarily compared ethanol naive controls with animals exposed to chronic intermittent ethanol vapor, to induce ethanol dependence, and have associated KOR regulation of ethanol consumption with ethanol dependence (Walker and Koob, 2008; Kissler et al., 2014). Here we show that following contingent drinking, KORs are functionally altered, even in animals with limited ethanol use. Indeed, even in the animal with the lowest ethanol intake (0.7 g/kg daily average ethanol intake), the effect of U50,488 on DA release was greater than for all controls animals. Furthermore, we found that the severity of dysregulation of KORs increased proportionally with ethanol consumed. Although it remains to be determined precisely at what point increased KOR sensitivity may augment ethanol consumption, these data suggest that dysregulation of the KOR may play a role in drinking during early ethanol use.

The 6 month ethanol access time point at which these experiments were conducted represents a relatively early stage of ethanol abuse, roughly equivalent to two years of chronic ethanol consumption in humans. As alcoholism in humans typically develops after many years of abuse (Schuckit et al., 1995), these results are congruent with previous models of addiction that propose the NAc as the locus of behavioral control during early drug abuse (Graybiel, 2008; Everitt and Robbins, 2013). Furthermore, the current findings show that KOR regulation of DA release in control animals is modest, with 1 μm U50,488 inducing just ∼10 and ∼30% changes in DA release in the DLC and NAc core, respectively. This suggests that KORs have little effect on DA-mediated behaviors before ethanol use, but their function is specifically augmented during excessive drinking. This is congruent with previous rodent literature showing no change in drinking behaviors in response to KOR blockade in animals without prior ethanol exposure (Walker and Koob, 2008). Together, these data suggest a threshold of activation for the KOR-mediated facilitation of drinking behaviors, which may be triggered by the robust ethanol-induced increases in KOR sensitivity observed here. Furthermore, the relationship between KOR sensitivity and drinking provides a potential mechanism for the comorbidity of early life stress and alcoholism (Enoch, 2011), as stress has been linked to increases in dynorphin/KOR system activity in both animal and human investigations (Pfeiffer et al., 1986; McLaughlin et al., 2006; Pascoe et al., 2008).

The second major finding of these experiments is that ethanol self-administration produces opposite alterations in DA neurotransmission in the DLC and NAc core, whereby evoked DA release and uptake are increased in the NAc core and decreased in the DLC of ethanol-drinking animals. DA uptake rates are critical for regulating both intracellular and extracellular DA levels through removal of DA from synapses and repackaging into vesicles; thus, increased uptake rates are likely to lead to lower extracellular DA tone and increased DA release per stimulation, as shown by the current findings and by others (Ferris et al., 2014). Because the behavioral relevance of cue-evoked (phasic) DA signaling is determined by increases relative to tonic levels, rather than absolute amplitude (Wanat et al., 2009), it is likely that increased DA release and uptake in the NAc core combine to produce greatly augmented dopaminergic output, whereas decreased release and uptake in the DLC result in similarly decreased output. Importantly, we found that the relative terminal function between the two regions (DLC/NAc core) was highly correlated with ethanol intake, suggesting that, as has been shown with psychostimulants, DA-dependent interactions between these two structures may play an important role in ethanol consumption (Belin and Everitt, 2008).

In addition to changes in baseline changes in DA uptake rate, we examined the effects of ethanol self-administration on the ability of KORs to alter DA uptake. Previous investigations of KOR-induced alterations to DA uptake rates have been conflicting, with increases (Thompson et al., 2000; Kivell et al., 2014), decreases (Das et al., 1994), and no change (Gehrke et al., 2008; Ebner et al., 2010) being observed following KOR activation. Here we show that U50,488 produced a concentration-dependent decrease in DA uptake in the DLC while having no effect in the NAc core. In agreement with the effects of ethanol self-administration on KOR-induced reductions in DA release, there was a trend toward greater KOR effects on DA uptake in DLC of drinkers. These findings are consistent with previous results demonstrating decreased DAT density in the dorsal striatum following KOR agonist treatment (Collins et al., 2001) and suggest ethanol-induced decreases in DA uptake in the DLC may be KOR mediated.

Although it has been proposed that nonhuman primate models of ethanol abuse represent the most promising avenue for elucidating the neurobiology of alcoholism and for identifying molecular targets for pharmacotherapeutic compounds, investigations have been largely limited to behavioral, endocrine, or brain imaging analyses due to practical constraints. Here we show robust increases in KOR sensitivity following ethanol use in nonhuman primates and demonstrate that KOR sensitivity in the NAc core is positively correlated with ethanol intake. Additionally, we found regionally divergent ethanol-induced alterations to DA terminal function resulting in NAc core hyperfunction and DLC hypofunction. The relative uptake rate between the two regions was highly correlated with ethanol intake, suggesting that the relative output between these two regions may be critical in mediating drinking behaviors. These findings give novel insight into the neurobiological basis of ethanol abuse and provide potential mechanisms for aberrant drinking behaviors during early ethanol use. Importantly, this work demonstrates that KOR sensitivity is correlated with drinking behavior and, in light of previous work (Walker and Koob, 2008; Sirohi et al., 2012, Walker et al., 2012, Bazov et al., 2013), increases the confidence that KOR antagonists may provide a novel pharmacotherapy for relapse to ethanol drinking following periods of abstinence.